Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | LG50083330 | DC |
NPI | 1235741935 |
---|---|
Provider Name | Joseph Mills |
First Address | Laurel, MD 20708-2550 |
Second Address | Washington, DC 20019-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2020 |
Last Update Date | 24/08/2020 |